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MEDFORD REHABILITATION AND NURSING CENTER

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MEDFORD REHABILITATION AND NURSING CENTER is a for profit - limited liability company facility in MEDFORD, MA with 142 certified beds and a 3-star overall CMS rating. The facility has 37 deficiency records on file. Total penalties: $16K.

300 WINTHROP STREET, MEDFORD, MA 02155

Phone: 7813964400

Overall Rating

3/5

Health Inspection

3/5

Staffing

3/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
225339
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
142
Residents
121
In Hospital
No
County
Middlesex
Last Inspection
Aug 1, 2025

Staffing Data

RN Hours
0.56 (nat'l avg: 0.68)
LPN Hours
0.97
CNA Hours
1.95
Total Nursing Hours
3.48 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
58.0%
RN Turnover
43.8%

What the CMS Record Reveals About MEDFORD REHABILITATION AND NURSING CENTER

MEDFORD REHABILITATION AND NURSING CENTER operates 142 certified beds in MEDFORD, MA with approximately 121 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (3★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 37 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $16K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.48 total nursing hours per resident day (national average 3.89), with RN coverage at 0.56 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, MEDFORD REHABILITATION AND NURSING CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 58.0%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (37 most recent)

D — Isolated - Minimal harm Aug 1, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 9, 2025

D — Isolated - Minimal harm Aug 1, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 9, 2025

E — Pattern - Minimal harm Aug 1, 2025 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Sep 9, 2025

E — Pattern - Minimal harm Aug 1, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Sep 9, 2025

D — Isolated - Minimal harm Aug 1, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 9, 2025

E — Pattern - Minimal harm Aug 1, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 9, 2025

D — Isolated - Minimal harm Aug 1, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 9, 2025

D — Isolated - Minimal harm Aug 1, 2025 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Sep 9, 2025

D — Isolated - Minimal harm Jul 12, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Jul 12, 2024 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 16, 2024

E — Pattern - Minimal harm Jul 12, 2024 Tag: 0728

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 16, 2024

E — Pattern - Minimal harm Jul 12, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Jul 12, 2024 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Jul 12, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Jul 12, 2024 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Jul 12, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Jul 12, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Jul 12, 2024 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 16, 2024

E — Pattern - Minimal harm Jul 12, 2024 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Aug 16, 2024

E — Pattern - Minimal harm Jul 12, 2024 Tag: 0572

Give residents a notice of rights, rules, services and charges.

Category: Resident Rights Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Jul 12, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm May 25, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 26, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0808

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 26, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jun 26, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2023

G — Isolated - Actual harm May 25, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2023

G — Isolated - Actual harm May 25, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 26, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 26, 2023

E — Pattern - Minimal harm May 25, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 26, 2023

G — Isolated - Actual harm May 25, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 26, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 26, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 26, 2023

E — Pattern - Minimal harm May 25, 2023 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Jun 26, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Jun 26, 2023

D — Isolated - Minimal harm May 25, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jun 26, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 7.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 83.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 83.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 9.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 10.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 27.1% Yes

Penalty History 1 penalties totaling $16K

Date Type Amount
May 25, 2023 Fine $16K

Frequently Asked Questions

What is the overall CMS rating for MEDFORD REHABILITATION AND NURSING CENTER?
MEDFORD REHABILITATION AND NURSING CENTER has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (3★).
What are the staffing levels at MEDFORD REHABILITATION AND NURSING CENTER?
MEDFORD REHABILITATION AND NURSING CENTER reports 3.48 total nursing hours per resident day (national average: 3.89). RN hours are 0.56 per resident day (national average: 0.68). Nursing staff turnover is 58.0%.
How many beds does MEDFORD REHABILITATION AND NURSING CENTER have?
MEDFORD REHABILITATION AND NURSING CENTER has 142 certified beds with approximately 121 residents. The facility is located at 300 WINTHROP STREET, MEDFORD, MA 02155.
Does MEDFORD REHABILITATION AND NURSING CENTER have any deficiencies on record?
Yes, MEDFORD REHABILITATION AND NURSING CENTER has 37 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has MEDFORD REHABILITATION AND NURSING CENTER received any fines or penalties?
Yes, MEDFORD REHABILITATION AND NURSING CENTER has received 1 penalties totaling $16K.
Who owns MEDFORD REHABILITATION AND NURSING CENTER?
MEDFORD REHABILITATION AND NURSING CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was MEDFORD REHABILITATION AND NURSING CENTER last inspected?
The most recent health inspection for MEDFORD REHABILITATION AND NURSING CENTER was on Aug 1, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for MEDFORD REHABILITATION AND NURSING CENTER?
MEDFORD REHABILITATION AND NURSING CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial